Dr. Lillian Gandara
Dentist - General Practice
1904 W Parkside Ln Suite 201
Phoenix
, Arizona 85027-1228
Dr. Lillian Gandara
Dentist - General Practice
1904 W Parkside Ln Suite 201
Phoenix
, Arizona 85027-1228
(623) 321-6268
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Lillian Gandara
- 7022 E Nelson Dr
- Tucson, AZ
- Zip : 85730-1718
- Fax : (623) 321-6268
- Phone : (623) 434-9343
Second Address
- Dr. Lillian Gandara
- 1904 W Parkside Ln Suite 201
- Phoenix, AZ
- Zip : 85027-1228
- Fax : (623) 321-6268
- Phone : (623) 434-9343
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223G0001X | General Practice | 20097 | TX |
| N | 213EG0000X | General Practice | 20097 | TX |
| Y | 1223G0001X | General Practice | D5970 | AZ |
| Y | 213EG0000X | General Practice | D5970 | AZ |
National Provider Identifier
| NPI | 1003877382 |
|---|---|
| Provider Name | Dr. Lillian Gandara |
| First Address | Tucson, AZ 85730-1718 |
| Second Address | Phoenix, AZ 85027-1228 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 830332 | (05) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.